Utilizing Colpocleisis to Repair a Vesicovaginal Fistula in a Cervical Cancer Patient with History of Pelvic Radiation: A Case Report and Literature Review.

Case Reports in Urology Pub Date : 2021-05-05 eCollection Date: 2021-01-01 DOI:10.1155/2021/8865146
Ahmad Dahman, Daniel McClelland, Stanley Zaslau, Valerie Galvan Turner, Omar Duenas, Robert Shapiro
{"title":"Utilizing Colpocleisis to Repair a Vesicovaginal Fistula in a Cervical Cancer Patient with History of Pelvic Radiation: A Case Report and Literature Review.","authors":"Ahmad Dahman,&nbsp;Daniel McClelland,&nbsp;Stanley Zaslau,&nbsp;Valerie Galvan Turner,&nbsp;Omar Duenas,&nbsp;Robert Shapiro","doi":"10.1155/2021/8865146","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Vesicovaginal fistula is a rare and distressing urological condition. It is especially prevalent in developing countries with the predominant etiology secondary to obstructed labor. Radiation therapy in female patients with cervical cancer is a risk factor for vesicovaginal fistula formation in the United States. <i>Case Presentation</i>. A 53-year-old woman with a history of cervical cancer and radiation presented with continuous urinary incontinence. Following diagnostic vaginoscopy, a 1 cm vesicovaginal fistula was diagnosed at the vaginal apex. The patient elected for surgical repair. She subsequently underwent successful transvaginal fistula closure using colpocleisis to optimally address the systemic factors of poor wound healing associated with irradiated tissue. Because of the adjacent tissue having been compromised by pelvic radiation, we opted to use a biologic graft made of human cadaveric pericardial tissue (CPT) instead of a native tissue flap to provide additional support for the fistula repair.</p><p><strong>Conclusion: </strong>A transvaginal approach for surgical repair of vesicovaginal fistula can be successful in patients with a prior history of pelvic radiation. Transvaginal colpocleisis is a viable option to augment vesicovaginal fistula repair for patients with significant comorbidities when sexual intercourse is no longer desired.</p>","PeriodicalId":30323,"journal":{"name":"Case Reports in Urology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8118741/pdf/","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Urology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1155/2021/8865146","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 3

Abstract

Background: Vesicovaginal fistula is a rare and distressing urological condition. It is especially prevalent in developing countries with the predominant etiology secondary to obstructed labor. Radiation therapy in female patients with cervical cancer is a risk factor for vesicovaginal fistula formation in the United States. Case Presentation. A 53-year-old woman with a history of cervical cancer and radiation presented with continuous urinary incontinence. Following diagnostic vaginoscopy, a 1 cm vesicovaginal fistula was diagnosed at the vaginal apex. The patient elected for surgical repair. She subsequently underwent successful transvaginal fistula closure using colpocleisis to optimally address the systemic factors of poor wound healing associated with irradiated tissue. Because of the adjacent tissue having been compromised by pelvic radiation, we opted to use a biologic graft made of human cadaveric pericardial tissue (CPT) instead of a native tissue flap to provide additional support for the fistula repair.

Conclusion: A transvaginal approach for surgical repair of vesicovaginal fistula can be successful in patients with a prior history of pelvic radiation. Transvaginal colpocleisis is a viable option to augment vesicovaginal fistula repair for patients with significant comorbidities when sexual intercourse is no longer desired.

Abstract Image

Abstract Image

Abstract Image

应用阴道冲洗术修复盆腔放射史宫颈癌患者膀胱阴道瘘:1例报告并文献复习。
背景:膀胱阴道瘘是一种罕见且令人痛苦的泌尿系统疾病。它在发展中国家尤其普遍,主要病因继发于难产。在美国,女性宫颈癌患者的放射治疗是膀胱阴道瘘形成的危险因素。案例演示。一名53岁女性,既往有宫颈癌及放疗史,以持续性尿失禁为主。在诊断性阴道镜检查后,在阴道顶端诊断出1厘米的膀胱阴道瘘。病人选择手术修复。随后,她成功地使用阴道冲洗术关闭阴道瘘,以最佳地解决与辐照组织相关的伤口愈合不良的全身因素。由于邻近组织已被盆腔辐射破坏,我们选择使用人类尸体心包组织(CPT)制成的生物移植物代替天然组织瓣来为瘘修复提供额外的支持。结论:对于有盆腔放射史的患者,经阴道入路手术修复膀胱阴道瘘是成功的。经阴道阴道冲洗术是一种可行的选择,以增加膀胱阴道瘘修复的患者显著合并症时,不再需要性交。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
28
审稿时长
13 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信